title: [Combined technique in the removal of parotid gland stones].
abstract: Sialendoscopy is used in the diagnostics and treatment of salivary gland swelling. Small intraductal stones can be removed with various instruments during sialendoscopy. In cases with larger fixed stones a combined technique can be applied. The stone is approached endoscopically, skin flap is raised or a small incision is made through the illuminated area and the stone is removed via the external route with minimal morbidity. In this series five out of seven patients treated by the combined technique became symptomless. Superficial parotidectomy was performed on one patient. The combined technique is recommended in the removal of stones that are large, fixed in the duct or located in the gland's hilus.
authors.affiliation: Satakunnan keskussairaala, korva-, nenä- ja kurkkutautien klinikka.
authors.forename: Jussi
authors.initials: J
authors.lastname: Virtanen
authors.forename: Markku
authors.initials: M
authors.lastname: Sipilä
authors.forename: Jura
authors.initials: J
authors.lastname: Numminen
authors.forename: Jussi
authors.initials: J
authors.lastname: Laranne
mesh_terms: D004724:Endoscopy / Q000379:methods*; D006801:Humans; D010305:Parotid Diseases / Q000601:surgery*; D020792:Salivary Calculi / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome